ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?
Correct Answer: A
Rationale: The statement 'I need to learn how to perform a dressing change on my leg' reflects acceptance of the limb loss and a proactive approach to self-care. The other statements indicate denial, depression, or difficulty adjusting, which are not signs of acceptance.
Question 2 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.
Question 3 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 125/85 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Measuring the client's BP in the other arm is the correct action to confirm the accuracy of the reading and rule out errors. A narrower cuff or faster deflation can skew results, and requesting medication is premature without verifying the elevation and assessing its cause.
Question 4 of 5
A nurse is inserting an indwelling urinary catheter for a female client. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: A,B,C,E,D
Rationale: The correct order is: Clean the meatus (
A), separate labia (
B), insert catheter (
C), inflate balloon (E), secure to thigh (
D). This sequence minimizes infection risk and ensures proper placement.
Question 5 of 5
A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?
Correct Answer: D
Rationale: Unequal height of the shoulders is a classic sign of scoliosis due to spinal curvature. The other options indicate kyphosis, lordosis, or emphysema, respectively.